Glasgow Coma Scale (GCS) | CRIB CHAT

In this short Crib Chat episode, Steph discusses the NIHSS-8 and FAST assessment tools useful in the CVA patient. Source:       https://www.sciencedirect.com/science/article/pii/S1836955314000137#bib0005

Debunk CVA's by discussing a clinical case, pathophysiology and prehospital management. Sources:https://www.neurolutions.com/after-stroke/understanding-post-stroke-nausea-and-vomiting-causes-symptoms-and-treatment/https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0018/219060/CPG_Stroke-and-Transient-ischaemic-attack.pdf https://www.safercare.vic.gov.au/best-practice-improvement/clinical-guidance/stroke-clinical-network/endovascular-clot-retrieval-protocol https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.121.319949 https://thisvsthat.io/hemorrhagic-stroke-vs-subarachnoid-hemorrhagehttps://www.stroke.org/en/about-stroke/effects-of-stroke

Welcome back! After a break from podcasting, I am back behind the mic once more for more clinical conversations.

In this part 3 of 3 episode, we talk about the final type of shock. Sources • https://www.mayoclinic.org/first-aid/first-aid-shock/basics/art-20056620#:~:text=Shock%20is%20a%20critical%20condition,getting%20enough%20blood%20or%20oxygen.• https://pmc.ncbi.nlm.nih.gov/articles/PMC6323133/#s2• https://www.ncbi.nlm.nih.gov/books/NBK513297/• https://www.ncbi.nlm.nih.gov/books/NBK470316/#:~:text=In%20distributive%20shock%2C%20systemic%20vasodilation,further%20complicating%20the%20clinical%20picture.• https://www.nhlbi.nih.gov/health/cardiogenic-shock• https://www.ncbi.nlm.nih.gov/books/NBK482255/• https://www.ahajournals.org/doi/10.1161/JAHA.119.011991• https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0016/219022/cpg_cardiogenic-shock.pdf• https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/485333#:~:text=The%20mechanism%20of%20cardiac%20arrest,rises%20and%20cardiogenic%20shock%20ensues.• https://pmc.ncbi.nlm.nih.gov/articles/PMC11266805/#:~:text=Etiologically%2C%20obstructive%20shock%20is%20caused,a%20very%20high%20PEEP%20level . • https://www.osmosis.org/answers/obstructive-shock

Part 2 of 3 talking about the different prehospital types of pathophysiological shock.• https://www.mayoclinic.org/first-aid/first-aid-shock/basics/art-20056620#:~:text=Shock%20is%20a%20critical%20condition,getting%20enough%20blood%20or%20oxygen.• https://pmc.ncbi.nlm.nih.gov/articles/PMC6323133/#s2• https://www.ncbi.nlm.nih.gov/books/NBK513297/• https://www.ncbi.nlm.nih.gov/books/NBK470316/#:~:text=In%20distributive%20shock%2C%20systemic%20vasodilation,further%20complicating%20the%20clinical%20picture.• https://www.nhlbi.nih.gov/health/cardiogenic-shock• https://www.ncbi.nlm.nih.gov/books/NBK482255/• https://www.ahajournals.org/doi/10.1161/JAHA.119.011991• https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0016/219022/cpg_cardiogenic-shock.pdf• https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/485333#:~:text=The%20mechanism%20of%20cardiac%20arrest,rises%20and%20cardiogenic%20shock%20ensues.• https://pmc.ncbi.nlm.nih.gov/articles/PMC11266805/#:~:text=Etiologically%2C%20obstructive%20shock%20is%20caused,a%20very%20high%20PEEP%20level . • https://www.osmosis.org/answers/obstructive-shock

Part 1 of 3 talking about the different prehospital types of pathophysiological shock.Sources• https://www.mayoclinic.org/first-aid/first-aid-shock/basics/art-20056620#:~:text=Shock%20is%20a%20critical%20condition,getting%20enough%20blood%20or%20oxygen.• https://pmc.ncbi.nlm.nih.gov/articles/PMC6323133/#s2• https://www.ncbi.nlm.nih.gov/books/NBK513297/• https://www.ncbi.nlm.nih.gov/books/NBK470316/#:~:text=In%20distributive%20shock%2C%20systemic%20vasodilation,further%20complicating%20the%20clinical%20picture.• https://www.nhlbi.nih.gov/health/cardiogenic-shock• https://www.ncbi.nlm.nih.gov/books/NBK482255/• https://www.ahajournals.org/doi/10.1161/JAHA.119.011991• https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0016/219022/cpg_cardiogenic-shock.pdf• https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/485333#:~:text=The%20mechanism%20of%20cardiac%20arrest,rises%20and%20cardiogenic%20shock%20ensues.• https://pmc.ncbi.nlm.nih.gov/articles/PMC11266805/#:~:text=Etiologically%2C%20obstructive%20shock%20is%20caused,a%20very%20high%20PEEP%20level .• https://www.osmosis.org/answers/obstructive-shock

In this Crib Chat episode, we talk about a widely used tool in prehospital care, the glasgow coma scale.

In this episode Steph discusses a case study and pathophysiology around cellulitis, a common presentation in the prehospital environment. Sources: https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0021/219045/cpg_cellulitus.pdf https://www.mayoclinic.org/diseases-conditions/cellulitis/symptoms-causes/syc-20370762 https://www.healthline.com/health/cellulitis#fa-qs https://www.ncbi.nlm.nih.gov/books/NBK549770/

This episode was made in conjunction to last week's episode 'Anaphylaxis and severe allergies'. We discuss the pharmacology of adrenaline in a paramedic scope. Sources: https://www.sciencedirect.com/topics/neuroscience/sympathomimetic-drug https://www.sciencedirect.com/topics/medicine-and-dentistry/sympathomimetic https://study.com/learn/lesson/alpha-beta-receptors.html https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0025/219319/DTP_Adrenaline-epinephrine.pdf https://pharmrev.aspetjournals.org/#:~:text=Review%20of%20the%20literature%20shows,that%20another%20important%20fraction%20is https://my.clevelandclinic.org/health/articles/22611-epinephrine-adrenaline

In our first pathophysiology episode for the year, I talk about a brief case study relating to an anaphylactic presentation and the pathophysiology. Sources: https://emedicine.medscape.com/article/135065-overview#a3 https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0019/219043/cpg_anaphylaxis-and-allergy.pdf  https://www.sciencedirect.com/topics/biochemistry-genetics-and-molecular-biology/capillary-permeability#:~:text=An%20increase%20in%20capillary%20permeability,fluid%20in%20the%20interstitial%20compartment.  https://www.allergy.org.au/hp/anaphylaxis/adrenaline-injector-prescription